NPIMap

Organization Active NPI

Professional Drug 1

  • Pharmacy
  • Toa Alta, PR
National Provider Identifier
1033246806
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
15-F-0813 Issued in PR
Legal business name
PROFESSIONAL DRUG 1
Practice address
B35 Calle 6
Urb Sanfernando
Toa Alta, PR 00953-2205
Phone
(787) 870-2935
NPI assigned
Feb 27, 2007
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nilza Iris Santiago, PHARMACISTNPI 1083637532
Title
Owner
Phone
(787) 870-2935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 15-F-0813 PR Primary

Addresses

Primary practice location

B35 Calle 6
Urb Sanfernando
Toa Alta, PR 00953-2205

Mailing address

PO Box 51666
Toa Baja, PR 00950-1666
Phone (787) 870-0978

Other identifiers 1

IdentifierTypeStateIssuer
4019724OtherPRNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Nilza2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1033246806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51666",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501666",
            "telephone_number": "787-870-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B35 CALLE 6",
            "address_2": "URB SANFERNANDO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532205",
            "telephone_number": "787-870-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DRUG 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "NILZA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-870-2935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "15-F-0813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4019724",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.